Original articles

Shoulder Dystocia: An update and review of new techniques

Catherine Anne Cluver, Justus Hofmeyr

Abstract


The definition for shoulder dystocia and the incidence varies. Worldwide, shoulder dystocia may be increasing23. In this update we look at the complications for both the mother and fetus. We review the risk factors and strategies for possible prevention. Management options include Mc Roberts position, techniques to deliver the anterior and posterior shoulder and finally salvage maneuvers. Salvage maneuvers which include Posterior Axillary Sling traction (PAST), the Zavanelli Maneuver and fracture of the clavicles. In cases of fetal death associated with an undelivered shoulder dystocia one can consider the transabdominal performance or facilitation of traditional vaginal maneuvers.28, 29

We suggest a simplified mnemonic “MAPS”,M: Mc Roberts, A: Anterior shoulder, P: Posterior shoulder, S: Salvage. A video teaching program will be available shortly on the World Health Organisation Reproductive Health Library (www.who.int/rhl ; rhl@who.int )

Authors' affiliations

Catherine Anne Cluver, Registrar, Tygerberg Hospital, Stellenbosch University

Justus Hofmeyr, Effective Care Research Unit, Universities of Witwatersrand and Fort Hare; Eastern Cape Department of Health, South Africa

Full Text

PDF (224KB)

Keywords

Shoulder dystocia; update; PAST; new technique

Cite this article

South African Journal of Obstetrics and Gynaecology 2009;15(3):90.

Article History

Date submitted: 2009-08-28
Date published: 2009-10-14

Article Views

Abstract views: 4404
Full text views: 2589

Comments on this article

*Read our policy for posting comments here


The South African Medical Association is the official publisher of the SAJOG.

                                                           

                                        SOUTH AFRICAN MEDICAL ASSOCIATION

                                                         Events | Careers | CPD

 

The South African Journal of Obstetrics and Gynaecology| Online ISSN: 2305-8862 | Print ISSN: 0038-2329 | 

Creative Commons Attribution - NonCommercial Works License (CC BY-NC 4.0) | 

This journal is protected by a Creative Commons Attribution - NonCommercial Works License (CC BY-NC 4.0) | Read our privacy policy.

SAMA Journals: South African Medical Journal African Journal of Health Professions Education South African Journal of Bioethics and Law South African Journal of Child Health | Southern African Journal of Critical Care  | South African Journal of Obstetrics and Gynaecology | Undergraduate Research in Health African Journal of Thoracic and Critical Care Medicine  | Southern African Journal of Public Health